The company was set up in 1988 as a profit-making corporation for the benefit of insured doctors. Insurance companies set up in the Cayman Islands do not have the regulatory expenses of domestic companies. There is no corporate taxation, companies need not have brick and mortar locations, or highly paid C.E.O.s
The Cayman Islands and Bermuda have the infrastructure to regulate and certify Captive Insurance. Northwestern memorial Hospital, Mass General Hospital, and a host of other large and small entities have their captives on these islands. The Cayman Islands licenses over 600 captive insurance companies.
More than half of the 600 Cayman Islands’ captives relate to healthcare, and medical malpractice liability continues to be the primary line of business, with approximately 32 percent of companies.